Dental Principles of Plastic Surgery | Journal CME Article-Journal CME Article: Dental Principles for Plastic Surgery (Video 5 of 5)

Journal CME Article: Dental Principles for Plastic Surgery (Video 5 of 5)

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Orthognathic malalignment may be treated with growth-modifying appliances during development, potentially reducing or eliminating the need for surgery. In the example, a mandibular advancement appliance and orthodontics corrected a growing patient’s severe Class II malocclusion. Patients who cannot undergo growth modification may need orthognathic surgery, typically after 9–18 months of presurgical orthodontics. Virtual surgical planning can improve surgical efficiency and consistency. Dental rehabilitation is also essential after jaw reconstruction. Prostheses may be immediate, transitional, or definitive, and removable or fixed. Immediate dental implants placed during reconstruction can support faster rehabilitation, especially for patients receiving radiation.

Keywords

orthognathic malalignment

growth-modifying appliances

Class II malocclusion

orthognathic surgery

dental rehabilitation